Mavian, Gregory Z.

Mavian, Gregory Z. is an individual health care provider with primary practice located at 1313 Olentangy River Rd , Columbus OH 43212-3129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mavian, Gregory Z. can be contacted via phone (614) 890-6555.

Contact Information

Primary practice address
1313 Olentangy River Rd Columbus OH 43212-3129
Fax: (614) 823-8881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 34004053M Ohio

Profile Details

NPI number 1194709691
LBN Legal business name Mavian, Gregory Z.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated May 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194709691 NPPES
Ohio MEDICAID 0630848

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